| 바렛 식도에서 발생한 식도 선암의 내시경 점막 절제술 1예 |
| 강신애·김도영·김지현·김병창·정재복·김혜령*·김호근* |
| 연세대학교 의과대학 내과학교실, 소화기병연구소, *병리학교실 |
| A Case of Endoscopic Mucosal Resection for Esophageal Adenocarcinoma Arising from Barrett's Esophagus |
| Shin Ae Kang, M.D., Do Young Kim, M.D., Jie Hyun Kim, M.D., Byung Chang Kim, M.D., Jae Bock Chung, M.D., Hae Ryoung Kim, M.D.* and Ho Guen Kim, M.D.* |
| Departments of Internal Medicine and *Pathology, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea |
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| Abstract |
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Barrett's esophagus is defined as the replacement of normal squamous epithelium of distal esophagus with metaplastic columnar epithelium. It is a well known risk factor of esophageal adenocarcinoma. If high grade dysplasia or early stage esophageal cancer develops in a patient with Barrett's esophagus, esophagectomy shoud be performed. However, operative procedures have various complications and the patients may suffer resulting in poor quality of life. Therefore, if the cancer is detected at an early stage such as superficial mucosal lesion, it is possible to resect the tumor with the use of endoscopic technique. Furthermore, endoscopic mucosal resection (EMR) also can be performed for the patients with mucosal or submucosal cancer who can not receive esophagectomy due to old age or poor general condition. We experienced a case of esophageal adenocarcinoma from Barrett's esophagus which had been successfully resected endoscopically. (Korean J Gastrointest Endosc 2005;31:237242) |
| Key Words:
Barrett's esophagus, Adenocarcinoma, Endoscopic mucosal resection |
| 주요어:
바렛 식도, 선암, 내시경 점막 절제술 |
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